Patient Outreach & Compliance Specialist

What your day will look like at Prisma Community Care:

• You will facilitate appointment coordination & care continuity by:
• Providing proactive outreach and reminders to patients on appointments and care plans.
• Monitoring appointment no-show rates and cancellations.
• Implementing strategies to minimize missed appointments to improve patient engagement and care continuity. 
• You will encourage patient engagement & relationship building by:
• Developing and maintaining trust-based, supportive relationships with patients.
• Encouraging active participation in health management and care decisions.
• You will provide medication management support by:
• Assisting patients with medication adherence, refills, and understanding prescriptions.
• Providing support with navigating of pharmacy benefits, discount programs, and access to necessary medications.
• You will monitor care plans & provide support by:
• Collaborating with healthcare teams to track patient progress and care plan compliance.
• Identifying barriers to care and collaborate with patients to overcome them.
• You will give personalized outreach & education by:
• Conducting individualized outreach to educate patients on their health conditions and treatment plans.
• Providing clear and compassionate guidance tailored to patient needs.
• You will provide resource navigation & referrals by:
• Helping patients navigate available healthcare resources and connect them to needed services.
• Providing timely referrals to community or clinical support programs.
• You will utilize health care data to identify care gaps and initiate targeted communication regarding:
• Missed appointments, medication needs, and health plan follow-through.
• You will provide patient advocacy & barrier resolution by:
• Advocating for patients by addressing social, logistical, or financial obstacles to care.
• Maintaining a patient-centered approach to problem-solving and support.

• You will provide data reporting and analysis while:
• Leveraging EMR and available resources to extract and analyze project-specific data.
• Maintaining and collaborating on data-driven dashboards provided to leadership for decision-making.
• You will conduct compliance monitoring by:
• Performing regular 340B Program audits to maintain compliance with HRSA.
• Reviewing and maintaining 340B program compliance documentation for audit preparedness.
• Collaborating with healthcare teams to implement regular compliance & QI processes.
• You will provide EMR access & account auditing by:
• Creating user accounts and coordinating an online training curriculum for new hires.
• Performing account access adjustments and maintaining auditable records for terminations.
• Performing regular account access reviews to maintain audit compliance.

• 200 hours of PTO per year 
• Up to 13 paid holidays per year 
• Medical, dental, and vision insurance 
• Basic life, short-term, and long-term disability insurance paid by Prisma Community Care 
• Employee Assistance Plan (EAP)
• Retirement savings

Who we're looking for:

• You have 2 or more years of experience as a Medical Assistant, Patient Care Coordinator, Referral Coordinator, or other closely related healthcare experience.
• You have earned your high School diploma or equivalent.
• You must be professional, flexible, caring, and compassionate while exhibiting a congenial and sensitive attitude toward patients. 
• You have demonstrated the ability to establish rapport and maintain effective communication with culturally diverse populations from a wide range of life circumstances and backgrounds.
• You have excellent computer skills with proficiency in Microsoft Office (Word, Excel, Power Point, Outlook) and EHR software.
• You are a highly organized, meticulous self-starter with excellent critical thinking skills and the ability to assess organizational needs.  You will also need to be able to establish priorities and multi-task effectively while maintaining a cheerful outlook.
• You have strong people skills to serve a variety of people and the proven ability to work independently while collaborating with others.
• All agency employees must be able to work effectively in a mission-driven agency whose clients and staff exhibit significant diversity with respect to race, ethnicity, sex, gender identity, sexual orientation, socio-economic status, nationality, and religion.

We'd love to see you apply if you have these preferred qualifications too:

• You have graduated and received a certificate of completion or diploma from an approved and accredited (CAAHEP or ABHES) medical assisting training program. 
• You have experience in Integrated Care settings.
• You have experience working in eClinicalWorks.
• You have experience working with Microsoft PowerBI.
• You possess a current 340B ACE Certification.
• You are bilingual in Spanish and English.

Environmental Factors, Physical Requirements, and Compliance

• Work primarily in a climate-controlled environment with minimal safety/health hazard potential.
• Occasional evening shifts may be necessary.
• Office environment, exposure to computer screens for lengthy periods of time.
• Travel outside of the Phoenix region approximately 10% of the time.
• Currently have, or be able to obtain within 90 days of employment, a valid Fingerprint Clearance Card
• Currently have, or are able to obtain within 7 days of employment, a clear TB test
• Currently have, or are able to obtain within 7 days of employment, a current flu vaccination
• Currently have, or are able to initiate within 7 days of employment, a Hepatitis-B primary vaccination series
• Currently have, or are able to obtain within 14 days of employment, a CPR certification

Equal Employment Opportunity

Reasonable Accommodations